摘要
目的了解高三酰甘油血症性急性胰腺炎复发患者血脂控制面临的困境,为开展健康教育以满足患者需求提供参考。方法采用现象学研究方法,对15例高三酰甘油血症性急性胰腺炎复发患者进行半结构式访谈,运用Colaizzi七步分析法对访谈资料进行分析。结果提炼出4个主题:疾病相关知识缺乏(对血脂控制的长期性认知不足,对用药认知存在误区,对定时监测存在认知误区),支持系统不足(家庭饮食与建议饮食之间失衡,难以获得专业性、有实际指导意义的信息),社会约束(重返工作后血脂控制难度增加,就医成本影响治疗监测),长期饮食限制加重对限制饮食的渴望。结论需合理评估高三酰甘油血症性急性胰腺炎复发患者需求,帮助患者正确认识疾病,引导其积极寻找解决血脂控制不良问题的方法,以控制血脂水平。
Objective To understand the dilemma faced by patients with recurrent hypertriglyceridemic acute pancreatitis in the process of lipid control,and to provide a reference for meeting the needs of patients.Methods Using a phenomenological research method,15 patients with recurrent hypertriglyceridemic acute pancreatitis were interviewed in a semi-structured manner,and the interview data were analyzed using the Colaizzi seven-step analysis.Results Four themes were extracted:lack of disease-related knowledge(inadequate knowledge of the need for long-term control of lipids,misconceptions about medication,and misconceptions about regular monitoring),inadequate support systems(imbalance between home diet and healthy diet,difficulty in obtaining professional,practically guided information),social constraints(increased difficulty in control upon return to work,cost of medical visits affecting treatment monitoring),and long-term dietary restrictions exacerbate cravings for restricted diets.Conclusion Patients′needs should be reasonably assessed to help them properly understand the disease and to guide them to actively seek solutions to poor lipid control in order to control lipid levels.
作者
靳瑾
杨洋
张晓雪
王文爽
崔一凡
桑红凤
王欣然
Jin Jin;Yang Yang;Zhang Xiaoxue;Wang Wenshuang;Cui Yifan;Sang Hongfeng;Wang Xinran(Department of General Surgery,Xuanwu Hospital Capital Medical University,Beijing 100053,China)
出处
《护理学杂志》
CSCD
北大核心
2023年第16期42-45,共4页
Journal of Nursing Science
基金
首都医科大学宣武医院院级课题(HLQN2022002)。
关键词
高三酰甘油血症
急性胰腺炎
复发
血脂控制
困境
质性研究
hypertriglyceridemia
acute pancreatitis
relapse
lipid control
dilemma
qualitative study
